Hello - I've had my j-pouch for 9 years and had 5-6 bouts of pouchitis, usually right before a trip. Over the years I've been prescribed cipro or flagyl; both have been effective, although the first time my (former) doctor left me on cipro a long time (years) and I got C-diff. This time I'd like to try a probiotic, to see if I can prevent more pouchitis or another C-diff infection. Does anyone have a current recommendation? I found a lot of posts about probiotics on this site, but most are many years old. I found this current meta-analysis article:
https://www.researchgate.net/p...n_ulcerative_colitis
It shows that in small studies, VSL #3 is significantly effective in preventing pouchitis. However, VSL #3 is way too expensive for me; I read that Visbiome is similar, but it's also very expensive. Also, I'd really like a shelf-stable product so I can travel with it. I will appreciate any advice! Thank you!